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Oriental Bank Mediclaim Policy

What is the Plan all About?

This policy is specifically designed for the Oriental Bank of Commerce account holders and employees with a family floater benefit. The plan is a comprehensive health insurance plan covering the hospitalization expenses and allied expenses to offer you a complete health insurance product.

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Key Features

  • Quick claim settlement
  • Customized plan for OBC account holders & employees
  • Cashless treatment at the network hospitals
  • Avail Hospital cash benefit
  • Tax Benefits under section 80 D of IT Act

Policy Benefits

  • Hospitalization expenses such as room rent, nursing charges, ICU benefit, medical practitioner,etc. are covered under this plan for a minimum stay of 24 hours.
  • Day care treatment or procedures are covered under all the plan variants in hospital/day care centre but not in the outpatient department of the hospital.
  • Domiciliary hospitalization or treatment at home is covered due to the unavailability of hospital rooms or considering the condition of the patient.Pre and post hospitalization expenses covered under this domiciliary benefit.
  • Daily Hospital cash benefit allowance is given under this plan to combat the non medical expenses during hospitalization. It is covered under gold and diamond plan variant.
  • Hospital Cash benefit is payable during the hospitalization of the insured upto the specified limit.

Value Added Benefits

  • Reimbursement of Funeral Expenses of the insured in case of his/her death.
  • Cashless treatment under the list of network hospitals.
  • Ambulance service expenses are paid upto the specified limit.
  • Tax benefit as per section 80 D of Income Tax Act.

Sub Limits

  • Room Rent not exceeding 1 % of the Sum Insured per day.
  • Hospital cash benefit is payable is Rs 1,000 for the entire policy term.
  • ICU expenses not exceeding 2 % of the Sum Insured per day.
  • Ambulance service charges Rs.1,000/- OR 1% of the sum insured whichever is less per hospitalization.
  • Domiciliary hospitalization paid upto 10% of sum insured upto maximum of Rs 25,000.

Waiting Period Clause

  • Initial Waiting Period: Any diseases contracted during first 30 days of the policy start date, except those arising out of accidents.
  • Specific Waiting Period: The waiting period of specific treatments as mentioned in the policy contract range from 1 year to 2 years of consecutive coverage.
  • Pre existing Disease Waiting Period: Silver variant of this plan has a waiting period of 48 months years to cover pre existing diseases.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Child: 3 Months, Adult: 18 Years Child: 26 Years, Adult: 79 Years
Cover Type Individual/Floater -
Policy Tenure 1 Year 1 Year
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • Convalescence Benefit
  • Naturpathy Treatment
  • Genetic Disorders
  • OPD Treatment, etc.
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